Ascending-to-Descending Aortic Bypass of a Thoracic Stent Graft Infection with a Rare Pathogen

Background: Stent graft infection (SGI) caused by Burkholderia cepacia complex is rare. The usage of ascending-to-descending aortic bypass (ADAB) in such situations has not yet been fully discussed.Methods: Case report and literature review.Results: We describe a case of SGI caused by B. cepacia complex after multiple surgical interventions because of an injury from a fall. The successful management encompassed thoracic endovascular aortic repair, antibiotic agents, device removal, and ADAB.Conclusion: Our report highlights the ADAB technique in addressing the progression of infection after multiple minimally invasive thoracic procedures for emergent thoracic trauma. The ADAB technique could be considered a viable option in certain clinical scenarios in SGI.